Intro To Coagulation FRAN Flashcards

1
Q

Arrest of bleeding depends on

A

Platelet plug formation

Elaboration of stable fibrin clot

Combined activity of vasculature, platelet, and plasma factors

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2
Q

Primary hemostasis

A

Platelet plug formation

Depends on normal platelet number and function

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3
Q

Secondary hemostasis

A

Activation of clotting cascade

Deposition and stabilization of fibrin

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4
Q

Tertiary hemostasis

A

Dissolution of fibrin clot

Dependent on plasminogen

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5
Q

First response to vessel injury

A

Release of vascular factors to reduce flow of blood from trauma by local vasoconstrction

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6
Q

Which part of coagulation cascade is tested using a PTT?

A

INTRINSIC pathway

Triggered by blood vessel injury

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7
Q

Which part of coagulation cascade is tested using a PT?

A

EXTRINSIC pathway

Activated by tissue factor release

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8
Q

Key result of coagulation pathway

A

Prothrombin converted to thrombin

Thrombin converts fibrinogen to fibrin

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9
Q

Role of factor XIII in hemostasis

A

Stabilizes fibrin clot by cross linking fibrin and platelets

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10
Q

INR

A

International normalize ratio

A standardization of PT, allows them to be compared

Calculated by dividing patients PT by the mean normal PT

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11
Q

Test that measures factors specific to intrinsic and common pathways

A

APTT

Measured in seconds

Determines how long it takes to clot

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12
Q

Screening test that determines a specific factor that is deficient

A

Factor assay

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13
Q

Patient with heparin, what test

A

PTT

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14
Q

Patient with Coumadin

A

PT/INR

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15
Q

Laboratory tests used in DIC

A

Fibrinogen test
D-Dimer
Fibrin split products

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16
Q

Fibrinogen test

A

Measures total available fibrinogen in plasma

17
Q

Fibrin split products

A

Increased when play in cleaves fibrin or fibrinogen

Elevated in DIC

18
Q

D-dimer

A

Formed in degradation of cross linked fibrin

Increased plasma levels = DIC

More specific than FSP, but if positive doesn’t necessarily mean DIC

HOWEVER, if D-dimer is negative, def. not DIC